RT Book, Section
A1 Shackford, Steven R.
A2 Feliciano, David V.
A2 Mattox, Kenneth L.
A2 Moore, Ernest E.
SR Print(0)
ID 1175139926
T1 Peripheral Vessels
T2 Trauma, 9e
YR 2020
FD 2020
PB McGraw Hill
PP New York, NY
SN 9781260143348
LK accesssurgery.mhmedical.com/content.aspx?aid=1175139926
RD 2024/04/19
AB KEY  POINTSIschemia  of  greater  than  3  hours  can  cause  irreversible  neuromuscular  changes;  expeditious  diagnosis  and  management  are  essential  to  a  good  outcome.Significant  prognostic  factors  related  to  secondary  amputation  are  duration  of  ischemia,  significant  soft  tissue  loss,  blunt  mechanism,  compartment  syndrome,  and  multilevel  arterial  injury.Computed  tomographic  arteriograms  have  replaced  catheter-based  arteriography  for  diagnostic  vascular  imaging.In  the  presence  of  protracted  ischemia  and  the  absence  of  intracranial  or  intracavitary  hemorrhage,  systemic  preoperative  or  intraoperative  heparinization  should  be  considered.In  a  stable  patient  with  a  bruit  or  thrill,  catheter  arteriography  can  provide  both  a  diagnosis  and  treatment  for  an  acute  pseudoaneurysm  or  acute  arteriovenous  fistula.